1 safe harbor this presentation and our remarks based upon it, including responses to questions made...
TRANSCRIPT
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Safe harbor
This presentation and our remarks based upon it, including responses to questions made during and following the presentation, may include forward-looking statements. Such statements are subject to the risks and uncertainties we discuss in detail in our reports filed with the Securities & Exchange Commission, including in our quarterly report on Form 10-Q filed November 8, 2012. We expressly disclaim any obligation to release publicly any updates to forward-looking statements made during the course of this presentation.
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Two late stage clinical programs
• Enobosarm (Ostarine; GTx-024), a SARM, for the prevention and treatment of muscle wasting in patients with non-small cell lung cancer: Eight clinical trials completed to date involving approximately 600
subjects
Input from with FDA, MHRA and MPA on our Phase III clinical development plan
Currently enrolling two pivotal Phase III clinical trials in non-small cell lung cancer (NSCLC) patients - topline results expected 1H 2013
DSMB reviewed safety data in May 2012 and October 2012 and agreed trial could continue as planned
• Capesaris (GTx-758), an oral selective ER alpha agonist, for secondary hormonal treatment of advanced prostate cancer: Eight clinical trials conducted to date involving approximately 500
subjects
FDA removed its Clinical Hold on Capesaris IND in May 2012
Phase II 712 clinical trial evaluating Capesaris® (GTx-758) for secondary hormonal treatment in men with metastatic castration resistant prostate cancer started 3Q2012
Selective Androgen Receptor Modulator (SARM)for the prevention and treatment of muscle wasting
in patients with lung cancer
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SARM 2005
Enobosarm Approximately 600 patients have participated in eight clinical trials
GTx Enobosarm
GTx Enobosarm
GTx Enobosarm
GTx Enobosarm
GTx Enobosarm
Collaboration Enobosarm and Merck SARM
Collaboration Enobosarm
GTx Enobosarm
Phase I SAD
Phase I MAD
Phase II POC chronic sarcopenia
Phase IIb muscle wasting in cancer
Phase I divided dose
Phase Ib head to head chronic sarcopenia
Phase Ib PK study – Japanese women
Phase I Formulation study
2006 2007 2008 2009 2010 2011
Enobosarm increased lean body mass and improved physical function in three efficacy clinical trials
Phase IIb cancer cachexia trial:
159 subjects with cancer cachexia, 4 months tx
Phase II POC clinical trial:120 elderly men and postmenopausal women,3 months tx
Phase Ib sarcopenia trial:
88 postmenopausal women, 3 months tx
Morton, et al. AACR. 2009; abstract nr(9273). Steiner, et al. J Clin Oncol. 2010;28:7s(suppl;abstr 9147). Dalton, et al. J Cachexia Sarcopenia Muscle. 2011;2:153-161. Marcantonio, et al. Endocrine Reviews. 2010;31(3):(suppl 1)S872. 6
Chang
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rom
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(kg
)C
hang
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rom
base
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(kg
)
Chang
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(kg
)
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rom
b
ase
line (
%)
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rom
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line
(%)
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rom
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line
(lb
s)
LEAN BODY MASS PHYSICAL FUNCTION
PlaceboEnobosarm 3 mg
1.6
1.4
1.2
1
0.8
0.6
0.4
0.2
0
-0.2
1.4
1.2
1
0.8
0.6
0.4
0.2
0
-0.2
25%
20%
15%
10%
5%
0%
-5%
-10%
-15%
30%
25%
20%
15%
10%
5%
0%
-5%
-10%
1.4
1.6
1.2
0.81
0.6
0.4
0.2
0
-0.2
-0.4
40
30
20
10
0
-10
-20
STAIR CLIMB
PlaceboEnobosarm 3 mg
STAIR CLIMB
PlaceboEnobosarm 3 mg
PlaceboEnobosarm 3 mg
BILATERAL LEG PRESS
PlaceboEnobosarm 3 mg
PlaceboEnobosarm 3 mg
PlaceboEnobosarm 3 mg
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• At diagnosis, nearly 50% of advanced NSCLC patients have severe muscle loss and approximately 70% of NSCLC patients will lose muscle 88% have lower body functional limitations including the ability to
climb stairs, lift and carry 10 lbs, walk ¼ mile, and stoop, crouch or kneel
• Performance status is a predictor of a patient’s ability to tolerate chemotherapy, and poor performance status is a primary reason patients are not offered treatment
Performance status also predicts the likelihood of hospitalization, ability to maintain independence, and survival
Muscle wasting is an important cancer related symptom in patients with advanced NSCLC
Phase IIb clinical trial in cancer patients:Enobosarm increased lean body mass & improved physical function in NSCLC Subset analysis: 61 NSCLC patients; mean % weight loss at entry was 9.7%
Reported incidence of tumor progression similar across groups. The most common AEs were fatigue, anemia, nausea and diarrhea.
Steiner, et al. J Clin Oncol. 2011;29:15s(suppl;abstr 9022). 8
Lean Body MassLean Body Mass Physical FunctionPhysical Function
-20
-15
-10
-5
0
5
10
15
20
25
% c
hang
e fr
om b
asel
ine
placebo 1 mg 3 mg-1.5
-1
-0.5
0
0.5
1
1.5
Cha
nge
from
bas
elin
e (k
g)
P=0.198
-0.84
1.1
N=31
Placebo
Enobosarm17.6
N=31-14.7
Placebo
Enobosarm
P=0.051
Goal met in clinical trials
Ability to meet goal to be determined
• Advanced NSCLC is incurable
• With currently available platinum doublet therapies, median survival is 8–11 months and the one year survival rate is 30-40% for patients who maintain good physical function
Ramalingam et al, Ca Cancer J Clin, 2011; 61: 91-1129
Goals for the treatment of advanced stage NSCLC with chemotherapy
International pivotal Phase III clinical trials: POWER 1 and 2
Input from with FDA, MHRA (U.K.) and MPA (Sweden) on Phase III
clinical development plans
150 patients
150 patients
150 patients
Other endpoints•QoL – FAACT, FACIT fatigue scales•Healthcare resource
utilization•Adherence to chemo plans•Tolerance to chemo
Co-primary endpoints•Lean body mass•Physical function @ 3 months
Placebo
Enobosarm3 mg
Enobosarm 3 mg
Secondary endpoints•Durability of effect @ 5 months•Overall survival
Placebo
platinum + taxane
150 patients
platinum + non taxane
Indication: Prevention and treatment of muscle loss in patients with NSCLC• Stage III/IV NSCLC patients initiating 1st line chemotherapy
• Co-primary endpoints (responders analysis): (1) no loss of LBM; (2) at least 10% improvement in SCP
• Each endpoint α=0.05, power >93%
• Assumes 30% drop out rate by 3 months
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EnobosarmAnticipated clinical development plan
Phase III-POWER 1Enobosarm 3 mg vs placebo in 300 pts
with NSCLC receiving platinum + taxane chemotherapy (5 month study)
Phase III-POWER 2Enobosarm 3 mg vs placebo in 300 pts
with NSCLC receiving platinum + non taxane chemotherapy (5 month study)
NDA
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EnobosarmLarge market opportunity
• Lung cancer is the most common malignancy
Worldwide - estimated 1.6 million new cases and 1.4 million deaths each year
United States - 222,500 new cases and 157,300 deaths in 2010
50% present with advanced disease
• Indication being pursued is prevention and treatmentof muscle wasting in patients with NSCLC
• In US, 170,000+ advanced NSCLC patients initiate chemotherapy each year
• Currently, several drugs treating cancer related symptomsare priced between $30 and $50 per day
• GTx estimates muscle wasting in patients with NSCLCcould be a $750 million opportunity in US alone 12
EnobosarmLarge market opportunity
United States
Source: Datamonitor 2011; projected market size in 2012, US and EU Qualitative market research
Stage III-IV NSCLC is the majority of NSCLC diagnosed and, based on perceptions of oncologists, at least 50% of these patients have muscle wasting
hyperK+ Rates
NSCLC= 207 K
Stage III-IVNSCLC
= 161 K (78% of NSCLC)
Muscle Wasting
~50% or higher(81 K)
5 EU
hyperK+ Rates
NSCLC= 186 K
Stage III-IVNSCLC
= 148 K (79% of NSCLC)
Muscle Wasting
~50% or higher(74 K)
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GTx-024 Commercial Assessment & Forecast – May 2012
Oncologists believe that muscle wasting has a high to medium impact on a NSCLC patient’s physical activity, QoL, weight loss, ability to tolerate chemotherapy and
ultimately on survival
Source: US and EU Qualitative market research
EnobosarmLarge market opportunity
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GTx-024 Commercial Assessment & Forecast – May 2012
• Only 30% of US oncologists and 20% of European oncologists had any awareness of products in development for muscle wasting
• Oncologists in both the US and the EU expressed a high level of interest for new treatments for the management of muscle wasting Not interested
at all
Extremely interested
US(N=16)
5 EU(N=24)
Source: US Oncologist Quantitative and US and 5 EU Qualitative market research
There is a high level of interest in treatments for muscle wasting, but very little awareness of specific drugs in clinical development
US Quant
(N=150)
No needat all
HighNeed
EnobosarmLarge market opportunity
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Extremely interested
EnobosarmIntellectual property
• 79 enobosarm composition of matter and method of use patent applications approved or pending in U.S. and rest of world with expiration dates in 2024
• As a new chemical entity, issued patents should be eligible for patent term extension of up to 5 years (2029)
• GTx has 350 patents approved or pending worldwide for all SARMs including enobosarm
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Selective ERα agonist for the treatment of advanced prostate cancer
Evolving treatment paradigm Advanced prostate cancer
Hormonesensitive
FirstSecondaryHormone Tx
CapesarisEnzalutamide
Second Secondary Hormone Tx
CapesarisEnzalutamide
ThirdSecondary Hormone Tx
Abiraterone + PrednisoneCapesaris
Chemotherapy
DocetaxelPostChemotherapy
EnzalutamideAbiraterone/PrednisoneCabazitaxel
Castration Resistant Prostate Cancer (CRPC)
Advanced Prostate Cancer
750,000patients
100,000patients/
year
15,000patients/
year
Market
Italicized- not approved
*Potential for future
development
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Multiple potential mechanisms of action for a selective ERα agonist to treat prostate cancer
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The relative amount of free T and T bound to albumin or SHBG in prostate cancer patients
Damber, JE et al, J. Endocrin. Invest, 6: 91-3, 1983
100
50
0
Tota
l te
stost
ero
ne %
Control Orchiectomy Estrogen
Free testosterone
SHBG bound testosterone
Albumin bound testosterone
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Bioavailable
Phase II studies in men with advanced prostate cancer confirms the mechanism of action• Phase II open label loading dose finding 705 clinical study in
advanced prostate cancer comparing1500mg BID and 1000mg BID loading doses followed by 1000mg or 2000mg maintenance doses (n=55)
• Castration rate greater than 90% for both arms• Capesaris increased SHBG and decreased free T
• Phase II open label maintenance dose finding 710 clinical study in advanced prostate cancer comparing Lupron, Capesaris 1000mg PO qD and Capesaris 2000mg PO qD (n=164) 2000mg Capesaris and Lupron arms
• Maintained castration by Kaplan-Meier estimates >95.5%• Similar testosterone escapes• Capesaris increased SHBG and decreased free T• Improvement in hot flashes, bone turnover markers and insulin
resistance
• Safety- VTE incidence rate increased for Capesaris21
Day 90
25 patients
Inclusion/Exclusion Criteria:• Serum PSA > 2ng/ml• Castrate (total T <50ng/dl)• ECOG 0-2• Maintain primary ADT
Capesaris 2000 mg PO q d
Endpoints:•Serum PSA response > 50% (Primary Endpoint)•Serum PSA Progression (PSA > 2 & >25%) •Serum free T and SHBG•Bone and Soft Tissue metastases
Phase II, secondary hormonal therapy 707 clinical study in chemotherapy naive CRPC
Serum PSA Response (N=7)
Serum PSA responders (>50% reduction)Mean SHBG =399% ± 85%
-90
-80
-70
-60
-50
-40
-30
-20
-10
0Day 1 Day 15 Day 30 Day 60
1S001
1S003
2S001
5S001
5S003
5S004
5S002Perc
en
t of
base
line
Days22
Phase II, open label, 712 clinical study of secondary hormonal treatment in men with metastatic CRPCstarted 3Q 2012
Subjects•mCRPC•Maintain ADT
Primary Endpoint:•Serum PSA response
Secondary Endpoints:•PSA progression•Progression free survival•Free T/SHBG•Adrenal (DHEA&DHEAS)•Estrogen deficiency side effects•SRE
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Day 90
25 patients
25 patients
25 patients
GTx-758 250 mg
GTx-758 500 mg
GTx-758 125 mg
Day 0
30 d
30 d
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Efficacy should be maintained with lower doses of Capesaris
Projected SHBG increases by dose and time*
*Based on Phase II 703/705 studies(Data on file)
Dose
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Capesaris Steering Committee
• Medical oncology Evan Yu* (U Washington) Johann DeBono* (Royal Marsden) Dan Petrylak* (Columbia/ Yale) Chuck Ryan* (UCSF) Phil Kantoff* (Dana Farber Harvard) Thomas Flaig* (U Colorado)
• Urology Badri Konety (U Minnesota)
• Advocacy group Tom Kirk (Us TOO)
* Confirmed participation
Phase IIb705 clinical study
Maintenance dose finding
Phase II710 clinical study
Loading dose finding
CapesarisAnticipated clinical development plan
Phase II712 clinical study
Secondary hormonal therapy in mCRPC patients (lower doses)
Phase II707 clinical study
Secondary hormonal therapy in CRPC patients
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CapesarisIntellectual Property
• 20 composition of matter and method of use patent applications and patents, which are either issued, allowed or pending in the US and rest of world with expiration dates of January 2029 in the US and November 2026 in the ROW
• As a chemical entity, issued US patent should be eligible for additional patent term extension of up to 5 years (for a maximum term of November 2034), as may be determined following FDA approval of Capesaris
Financial Summary
• Shares outstanding: 62.8 M
• Cash, cash equivalents and short-term investments at September 30, 2012: $47.3M
• Cash and short-term investments increased in October 2012 from the receipt of $19M in net cash proceeds from the sale of the rights to Fareston
• No debt, no warrants
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